MEDICARE: FRANK W BOWDEN III MD FACS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist
2	207W00000X	Ophthalmology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	180041081	OTHER		MEDICARE RAILROAD GROUP
3	CH8981	OTHER		MEDICARE RAILROAD GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	34327	OTHER		BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841287760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANK W BOWDEN III MD FACS PA

Provider Business Mailing Address
First Line	:	7205 BONNEVAL ROAD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-7565
Country	:	US
Telephone Number	:	904-296-0098
Fax Number	:	904-861-3899

Provider Business Practice Location Address
First Line	:	7205 BONNEVAL RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-7565
Country	:	US
Telephone Number	:	904-296-0098
Fax Number	:	904-861-3899

Authorized Official
Title or Position	:	OFFICE ADMINISTRATOR
Name	:	PATTI BARKEY
Credential	:
Telephone Number	:	904-861-3888

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	12/06/2016

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